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How do I fill this out?
To fill out this application, gather necessary personal and income information first. Ensure all required documentation regarding residency and eligibility is accessible. Review each section carefully before submission.

How to fill out the Application for Shelter Allowance Supplement?
1
Gather personal information and income details.
2
Read the eligibility criteria thoroughly.
3
Fill out all sections of the application accurately.
4
Attach any required supporting documents.
5
Submit the completed application form.
Who needs the Application for Shelter Allowance Supplement?
1
Individuals facing homelessness seeking financial assistance.
2
Single Safety Net individuals needing temporary housing support.
3
Childless couples without stable housing options.
4
Those living in temporary shelters or motels.
5
Persons eligible for Safety Net assistance without current sanctions.
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What are the instructions for submitting this form?
To submit this form, please email it to eileen.tiberio@co.ontario.ny.us or fax it to 585-396-4015. Alternatively, physical copies can be sent to the Ontario County Department of Social Services, Attention: Eileen Tiberio, 3010 County Complex Drive, Canandaigua, NY 14424. Be sure to keep a copy for your records before submission.
What are the important dates for this form in 2024 and 2025?
The implementation date of this program was December 1, 2019. Applications are accepted throughout the year, but early submission is encouraged for timely assistance.

What is the purpose of this form?
The purpose of this form is to provide a structured means for individuals to request financial assistance for shelter costs. It aims to address the significant housing challenges faced by low-income residents in Ontario County. By submitting this application, eligible individuals can access the necessary resources to secure stable housing.

Tell me about this form and its components and fields line-by-line.

- 1. Contact Person: Details of the contact person for inquiries regarding the application.
- 2. Telephone: Phone number for direct communication.
- 3. Email: Contact email for further correspondence.
- 4. Implementation Date: Date when the shelter allowance program is effective.
- 5. Number of Individuals to be Served: Estimate of how many individuals the program aims to assist.
- 6. Types of Cases Covered: Description of individual cases eligible for the allowance.
- 7. Justification for Application: Reasons supporting the need for this application.
What happens if I fail to submit this form?
Failing to submit this form may result in a lack of access to needed financial assistance for housing.
- Potential Delays in Assistance: Individuals may face prolonged periods without housing support.
- Eligibility Verification Issues: Incomplete applications may lead to difficulties in verifying eligibility for the program.
How do I know when to use this form?

- 1. Seeking Shelter Assistance: Individuals requiring support to cover shelter costs.
- 2. Homeless Individuals: Those without a stable living arrangement who need financial support.
- 3. Temporary Housing Situations: People staying in temporary shelters or motels requiring assistance.
Frequently Asked Questions
Who can apply for the Shelter Allowance Supplement?
Individuals facing homelessness or temporary housing instability can apply.
What documents are required for submission?
Applicants need personal identification, proof of income, and any relevant residency documents.
How long does the application process take?
Process times may vary, but applicants should expect a response within a few weeks.
Can I edit the PDF after filling it out?
Yes, you can edit the PDF anytime before submission on PrintFriendly.
Is there a deadline for submission?
It is recommended to submit applications as soon as possible to avoid delays in assistance.
Can I save my changes while editing?
Yes, you can save your progress while filling out the form.
Can I submit the application online?
Yes, completed applications can be submitted online.
What if I make a mistake while filling out the form?
You can easily edit your entries before finalizing your submission.
Is there a contact for help with the application?
Yes, you can contact Eileen Tiberio at 585-396-4015 for assistance.
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PrintFriendly allows for easy editing, sharing, and signing of PDF documents, improving your workflow.
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